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PRE 2010 DOCSVillage of Fridley, Minn. ii BUMBING PERMT N? 225 Ofiace o� INSPECTOR OF BUILDINGS Owner, Architect Fridley, Minn., 19 Builder, LOCATION OF BUILDING No. Street_A.*7 Part of Lot Lot Block Addition or Sub -Division DESCRIPTION OF BUILDING Front—f Depth ! O"'O Height Stories Manner of Construction "} II'' ° �+'' Estimated Cost To be used as `�" To be completed � xCJ{�j�y _ Permit is hereby granted the building "_"��" upon the express condition that Oe person the work done in, around and upon said nances of Fridley, Minn., regarding the within the city limits, and this permit ma ordinances. described in the above statement. This, permit is granted hom it is granted, and his agents, employees and workmen, in all dlding, or any part thereof, shall conform in all respects to the ordi- istruction, •alteration, maintenance, repair and moving of buildings be revoked at any time upon violation of any of the provisions of said __ V I 4�`� _ �) k pector of Buildings. AND SWORN STATEPrZENT In consideration of the issue =4 delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby .agree t do the proposed work in accordance with the description above set forth and according to the' provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that +! a facts stated by me and contained in the above permit are true as therein stated. aq Subscribed and sworn to before m at Fri day A.D. i9A-2) dley, MIM11-e-cota this- A2 s Plan Review Of Private Pool For 5857 Main Street N.E. The following items need consideration; 1. No yard layout 2. Equipment including pump and filter are not N.S.F. approved. 3. No surface skimmers on pool. 4. Inlet is improperly located. Should be two inlets ( one near top and one on the bottom) 5. No information on fencing. 6. No information on overhead wiring. 7. No information on method to fill the pool. Plans not approved on June 13, 1973 HARVEY J. MCPHEE HEALTH INSPECTOR I y APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S ' < <..J.-.. .i-• ADDRESS: .:ADDRESS: NO: STREET • s� r LOT: BLOCK • ADDITION CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: ----Front:—/ Y Depth: Height:— Square eight:Square Feet: Cubic Feet: Front: —Depth: "eight: Square Feet; Cubic Feet: Type of Construction: �c�'oL�Estimated Cost;_s J,.2,�Io® To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in st$ict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: SIGNATURE: (See Reverse Side For Additional Information.) SUBJECT PERA --� City of Fridley WRECKING 24 8 36 AT THE TOP OF THE TWINS o r' PERMIT r RECEIPT NO COMMUNITY DEVELOPMENT DIV. L 1 PROTECTIVE INSPECTION SEC. 6 1 � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 12/20/96 / / JOB ADDRESS 5857 Main Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 28-29 24 1 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Fridley HRA 6431 University Avenue NE 572-3599 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Herbst & Sons Const Co 2299 Co Rd H New Brighton MN 55112 784-8510 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE REMOVE 8 DESCRIBE WORK Wreck 30' x 24' Dwelling and a 20' x 12' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Clean site of all demolition debris. City to disconnect sewer & water. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISI S F ANY OTHER STATE OR LOCAL LAW REGULATING CON- ST UCT N R THE PERFORM E OF CONSTRUCTION. 21.25 PLAN CHECK FEE TOTAL FEE 21.25 SIGNATUAE OF CONTRACTOR OR AUTHORIZED AGE -NI -7' DATEI WHEN PROPER/VALIDATED ,g 1 INSP THIS IS YOUR PERMIT DATE SIGNATURE OF OWNER I IF OWNER BUILDER( (DATEI CITY OF FRIDLEY 6431 University Ave NE Fridley MN 55432 572-3604 EFFECTIVE 3/1/96 MOVING [ ] OR WRECKING [ ] PERMIT APPLICATION Job Address:_ Legal Description: Owner & Addre Contractor: Address: / &SCRIP' HOUSE: Length s Width GARAGE: Length_ Width OTHER: Length Width Estimated Cost $' ^!�7//Aate License # ON OF BUILDING Height Sq. Ft. Height_ Sq. Ft. 7-�C' Height Sq. Ft. Approx. Completion Date Tel. # Tel. #7 Cu. Ft. Cu. Ft. AA�D Cu. Ft. UTILITIES City Water/Sewpr Minnegasco N S P U S West NOTIFIED: 571-3450 (% 372-4720 ____K-3--'663-6000 [��� .330 -5roo Water Bill Paid: Yes [ ] or Collect t9f Signature Moving Route:_ The undersigned hereby makes application for a permit to wreck/move the building described above, agreeing. to do all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State Code which requires any water well on the property to be sealed by a State licensed water well driller, and hereby declares that all facts and representations st4ted in this application are true and correct. I77Y-61-11- i D. i Moving: Principle Building into Fridley .... $300.00 Accessory Building into Fridley .... $ 42.00 Through or within the City ...... $ 20.00 Move a building out of City ...... $ 80.00 Wrecking: For each 1,000 cubic feet or fraction .. $ 1.25 For structures which would be impractical to cube the fee shall be based on the total cost of wrecking at the rate of $6.00 for each $500.00 or fraction. PERMIT FEE: C:� / - S STIPULATIONS: Minimum Fee: $20.00 Minimum Fee: $15.00 SUBJECT City of Fridley 30725 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. `� -------COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE 1 = � CITY HALL FRIDLEY 55432 NUMBERREV DATE PAGE OF APPROVED BY 612-571-3450 910415 3/15/00 JOB ADDRESS 5857 Main Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 28, Pt 29 24 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Center for Energy & Environment 211 N 1 St #455, Mpls., MN 55401 335-5874 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Eagle Builders & Remodelers Inc 12390 W 162 St, Lakeville, MN 55044 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 805-8975 1426 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK JJ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 28'10" x 31'8" Dwelling and a 20'4" x 18'8" Garage 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide City with copy of verifying survey before capping. Provide a hard surface driveway. Provide sod in the front and side yards. SEWER & WATER LOCATIONS: See City Engineering Dept. WAKET SEPARATE PERMITS Sefore diggin call for REQUIRED EOR: all stili locations VARING HEATING 454-0002 PLUMBING AND SIGHS REQUIRED Y LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX Fire SC AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT @ $97,508 @ $48.75 $97.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OT TE OR LOCAL LAW REGULATING CON- $979.75 $A100 STRUCTION O P FO M E OF CONSTRUCTION PLAN CHECK FEE T77L FEE Liq_eaglej SC 5 0 $2,231.00 SIGNATURE OF CON'RACTOR O U RiZED AGENT IOATEj HENVR VALI T THIS I UR PERM S,GNATURE OF OWNER OF OWNER BUILDERi iDATE ♦. BLO INSo NEW Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: ;i—1 /%7�In �rt!�r Legal Description: .�0��8 ��29 �� , �`J-- Owner Name & Address:„b Contractor. ��—MN LICENSE # Address:- i)- /Ztc v<���, � -f. 'l�� Tel. #Zd - SZ -1- 91Y 7j' /Y/4- I?oti Attach to this application, a Certificate of Survey of the 6 i.z lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length -2-8' `/D ” Width / Height 8� Sq. Ft GARAGE AREA: Length ®? 0, Y Width !�`� Height_ Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ftp` •� X l 1. �� OTHER: may z '4 X /® ",2 `a �•4S�/�'IEo�T Z -Y4, B4 // a�o�iC�x- 3jfG 3"Ts'- Construction Type: o� c�� -sdn 2-k Estimated Cost: $ 00 y7.s R m Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 4J--0/APPLICANT: Tel. # 1�/ �a26�j-1�/aZ CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ 979, 7. Fee Schedule on Reverse Side Fire Surcharge $ '92-6-0 .001 of Permit Valuation (1/10th%) State Surcharge $ �. 7,S' $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control $,//tea.,00 $1100 per SAC Unit $ v . O $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above 1 Park Fee $ $450.00 Conservation Plan Review Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: �iA 3i6, NEW [ ] Effective 1/1/2000 ADDN [ J CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 5 Y 5 7 W�4 lx -1 �` A'Z Legal Description: G. © -T- a T -- Owner Name & Address: Contractor: -Aq i2 1 '2 31°0 etj 16 J- /c .4 S7 Tel. # 6 C MN LICENSE # ieev, ! 1a 7M "-- Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: Construction Type: Estimated Cost: $ %( Driveway Curb Cut Width Needed: i Ft. + 6 Ft = )o-Lil Ft x $ =$ 37,?. dU DATE: _ �� 36/® a) APPLICANT: /"41 `''- Tel. # f2- ��15 Eq 7/e 3L4 fd errs CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing In application Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $_$1 100 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS�J New Fixtures $ 7.00 � `% &6 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater -Electric $ 7.00 Water Heater - Gas`" $10.00 /� • �JU Gas Range" $10.00 Gas Dryer"" $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. FA Owner Building Used As� Estimated Cost PERMIT NO.f ` PLUMBING COMPANY SIGNED BY Approved D , 204�-- Rough -In Date Final Date "20-00 � ul ► ii a •: _► �i= � :i� i i� TOTALFEE PLUS THE S.50 STATE SUR -CHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes( ) No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturers specifications. Yes () No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( ) No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date: . CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE m Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, m #7631572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES CL N RATE SCHEDULE N N Residential Furnace Shell and Duct Work, Burner - t0 Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range 0 Gas Dryer 'L'Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) '1af of Value of Appliance or Work A:ommercial/industrial 1.25% of Value of. Appliance or Work Rate TOTAL $ 30.00 $ 10.00 $ 10.00 $10.00 $ 25.00 U- 0 State Surcharge U TOTAL FEE 0 LL MINIMUM FEE FOR,ANY HEATING/COOLING/VENTILATION gEFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Lo 2LUS THE 1.50 STATE SURCHARGE ifl m 1EINSPECTION FEE $47.00/Hr m N fAir Conditioners. can not be placed in a side yard without vritten permission from adjoining property owner. 3 - Ver �'-WzaA' a, $ w' JOB ADDRESS 6S57 NO' Effective On January 1, 2000 OWNER EhbtL U1•00kS BUILDING USED AS ESTIMATED COST 86W.00 PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating nits_-._...._ Circle One (Steam) (Hot Wate Trade Name Size No. BTU 70,0en HP EDR FuelA5�m C-� Total Connected Load Burner Trade Name BTU HP Size No. EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE y 11.1 zeoC� HEATIN CO P111� Aer-4 44r-ipL.Iijr, Signed TEL G z-711- 73L-1 Approved By Rbugh-In Date Final Date APR -12-2000 16:15 FROM CITY OF FRIDLEY TO 6127297579 P.04/04 , COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No { ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer`s specifications. This does Include AGA GANAA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes' No( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes -A No ( } Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( ) No ( ) Appliance Type and Size/Common Vent and dent Connector Information Appliance #1 Type raaQ+uf}cL— BTU Input --701 Ooo �— Fan Assisted or Nat YES Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height I Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance 03 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: TOTAL P.04 AW CINOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 September 28, 2000 Eagle Builders & Remodelers Inc 12390 W 162 St Lakeville, MN 55044 Re: Final Reinspection at 5857 Main Street NE, Fridley, MN Dear Sirs: A final inspection was conducted on September 28, 2000 of the above address and the structure was approved as constructed. The structure is approved for occupancy. If you have any questions concerning this matter, please feel free to contact me at 763-572-3603. Sincerely, fS;;Ili7111